Insurance Coordinator

Fresenius Medical Care • Metairie, LA • 2h ago

Must have reliable transportation, as this person will be traveling to and from clinics (mileage reimbursement provided).

PURPOSE AND SCOPE:

Explores, recommends, and coordinates the insurance and potential financial assistance options available to kidney dialysis patients in a specified geographic area, while maximizing revenue for the company. Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and company policy requirements

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Meets regularly with dialysis patients at the clinic(s) in the assigned region to educate and coordinate insurance options:

Educates on the availability of alternative insurance options (i.e., Medicare, Medicaid, Medicare Supplement, State Renal programs and COBRA).

Ensures patients have followed through with the application process.

Obtains premium statements and signatures from patients.

Discusses situation and options if employment status changes or other situations change.

Completes and follows up with paperwork when claims are disputed for non-payment.

Collects necessary documents to completed initial and annual indigent waivers.

Discusses insurance options when insurance contracts are terminated.

Responsibilities involving Medicare and Medicaid include but are not limited to:

Determining Medicare eligibility by meeting with the patients and contacting local Social Security offices to verify eligibility.

Discussing the Medicare application with eligible patients and assisting with the application process.

Acting as liaison between the patient and the local agents for Medicare terminations and re-in statements.

Completing the annual open enrollment and Medicare reinstatement papers with the patients.

Tracking 30-month coordinator period each month for those patients on employer Group Health Plans to ensure Medicare will be in place once coordination ends.

Monitoring and verifying the Medicaid status of each patient on a monthly basis and determining the spend down amounts

Works with patients to evaluate personal financial information and make determination for indigent program.

Completes initial Indigent waiver applications.

Tracks and completes annual indigent waiver applications.

Monitors all patients' insurance information to ensure that it is updated and accurate for the Accounts Receivable Department.

Addresses any identified anomalies or discrepancies, researches and answers questions as needed.

Meets with patients receiving direct payments from insurance companies to ensure payment of dialysis treatments owed to Fresenius.

Prepares, analyzes and reviews monthly reports to track work progress on caseloads; Analyzes patient reports from billing systems as an audit check to ensure the correct insurance information is entered into the billing system and that other changes are not overlooked. Researches and corrects any discrepancies identified.

Provides QA team members with monthly information regarding the details of the patients' primary and secondary insurance status as well as documentation regarding the plans of actions currently in place on a monthly basis as required by QA processes

Completes monthly audit exam to stay current on internal policies.

May present on insurance and financial assistance options to patients as necessary.

Assist with various projects as assigned by direct supervisor.

Other duties as assigned.

Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Day to day work includes desk and personal computer work and interaction with patients and facility staff. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Extensive local travel to clinics in a specified geographic area; must have a valid Driver's License.

EDUCATION:

Bachelor's Degree required; Social Work or other Healthcare focus preferred.

EXPERIENCE AND REQUIRED SKILLS:

2 - 5 years' related experience; healthcare industry preferred.

Experience with Medicare, Social Security and Medicaid systems a plus.

Past patient interaction a plus.

Excellent written and communication skills.

A strong customer service philosophy.

Strong organizational and time management skills.

Ability to work independently.

Proficient with PCs and Microsoft Office applications.

Valid Driver's License

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

EOE, disability/veterans

Similar Jobs

Director-Finance and Accounting

Sheraton New Orleans • New Orleans, LA • 1d ago

Finance, Accounting & Banking

Job Details Job title Director-Finance and Accounting Position Type Full Time Job ID 26030124 Pay Range $155,000-$204,000 annually Bonus Eligible Y Additional Info Must have a Finance or Accounting Degree, Relocation Ass...

1d ago

Go to Apply

FINANCIAL MANAGER

Air National Guard Units • Belle Chasse, LA • 1d ago

Finance, Accounting & Banking

Summary THIS IS A NATIONAL GUARD TITLE 5 EXCEPTED SERVICE POSITION. This National Guard position is for a FINANCIAL MANAGER, Position Description Number T5903600 and is part of the LA ANG 159TH FIGHTER WING, National Gua...

1d ago

Go to Apply

Revenue Operations Manager (Remote)

Cengage Group • New Orleans, LA • 3d ago

Finance, Accounting & Banking

We believe in the power and joy of learning At Cengage, our employees have a direct impact in helping students around the world discover the power and joy of learning. We are bonded by our shared purpose - driving innova...

3d ago

Go to Apply

Staff Accountant

Robert Half • Metairie, LA • 3d ago

Finance, Accounting & Banking

Description We are looking for a detail-oriented Staff Accountant to join our team in Metairie, Louisiana. This short-term contract to permanent position offers an excellent opportunity to contribute to the financial hea...

3d ago

Go to Apply

Staff Accountant

Robert Half • Metairie, LA • 3d ago

Finance, Accounting & Banking

Description We are looking for a detail-oriented Staff Accountant to join our team in Metairie, Louisiana. This is a short-term contract to permanent position, offering the opportunity to contribute to key financial oper...

3d ago

Go to Apply

FinanceAI Senior Consultant

Deloitte • New Orleans, LA • 4d ago

Finance, Accounting & Banking

Join our Finance Transformation team to help unlock financial performance and enterprise value. We serve as trusted advisors to CFOs, COOs, CIOs, and other key executives, providing strategic advice, implementing solutio...

4d ago

Go to Apply

Manager, Internal Federal & State Direct Tax

Deloitte • New Orleans, LA • 4d ago

Finance, Accounting & Banking

The Federal Direct Tax team is responsible for analyzing and computing book-tax differences, calculating taxable income, preparing federal partnership returns, allocating taxable income, preparing federal partnership K-1...

4d ago

Go to Apply

Finance AI Manager

Deloitte • New Orleans, LA • 4d ago

Finance, Accounting & Banking

Join our Finance Transformation team to help unlock financial performance and enterprise value. We serve as trusted advisors to CFOs, COOs, CIOs, and other senior leaders-providing strategic guidance, implementing soluti...

4d ago

Go to Apply

Banking Center Manager II

First Horizon Bank • Metairie, LA • 4d ago

Finance, Accounting & Banking

Description Location: On site at location listed in job posting. Summary If you're a natural leader and want to lead a team at a strong company with exceptional support, then you'll want to be one of our banking center m...

4d ago

Go to Apply

Tax Accounting & Forecasting - Senior Tax Accountant

Deloitte • New Orleans, LA • 5d ago

Finance, Accounting & Banking

The Senior Tax Accountant in Tax Accounting & Forecasting will support the US Firms Tax ("USFT") quarterly taxable income forecasting process by preparing analyses and workpapers, validating and reconciling data, and...

5d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.